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See a sample rate comparisonCPT 30125 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Nose Surgery To Remove Growth, Surgery To Remove A Dermoid Cyst From The Nose. The Cyst Is A Sac That Contains Skin Hair Follicles Sweat Glands And Other Types Of Tissue. It Can Be Located Under The Skin Or Attached To Cartilage.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Respiratory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 51 - Multiple procedures AS - PA/NP/CNS assistant at surgery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 30125 |
| Medicaid Fee Schedule | View Medicaid rates for 30125 |
National average reimbursement for CPT 30125 by major payers:
$739.26
$812.08
$883.12
$1,043.51
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CPT 30125
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Southwest Fort Worth
$13,172.00Published ratePiney Orchard Surgery Center, LLC.
Piney Orchard Surgery Center
$2,814.00Published rateThe Plastic Surgery Center Land, LLC
The Plastic Surgery Center Land LLC
$1,981.00Published rateClearview Surgery Center Inc
$1,300.00Published rateNorth Bay Eye Associates A Medical Corporation, North Bay Eye Associates Asc
North Bay Eye Associates
$544.00Published rate
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See a sample payer proposalCPT 30125 vs. Other Surgical Procedures on the Respiratory System Codes
The CPT 30125 code is part of the Surgery services used for Surgical Procedures on the Respiratory System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 30125 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 30115-CPT | Moderate | Excision Nasal Polyp(S), Extensive |
| 30120-CPT | Moderate | Exc/Surg Plane-Nose Skin-Rhinophyma |
| 30124-CPT | Moderate | Nose Surgery To Remove Growth, Surgery To Remove A Dermoid Cyst From The Nose. The Cyst Is A Sac That Contains Skin Hair Follicles Sweat Glands And Other Types Of Tissue. It Can Be Located Under The Skin Or Attached To Cartilage. |
| 30125-CPT | Moderate | Nose Surgery To Remove Growth, Surgery To Remove A Dermoid Cyst From The Nose. The Cyst Is A Sac That Contains Skin Hair Follicles Sweat Glands And Other Types Of Tissue. It Can Be Located Under The Skin Or Attached To Cartilage. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 30125. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 30125 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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